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Edgewater Woods

1809 N Madison Ave, Anderson, IN 46011 · Madison County · (765) 644-0903

81 certified beds, about 74 residents a day · Government - County · Medicare and Medicaid since 1968

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 155066 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 20, 2026, inspectors cited 5 health deficiencies (the Indiana average is 7.2, the national average 9.2).

None of its 14 health citations since March 2024 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.35 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.43 of those hours.

36.9% of nursing staff left within the year CMS measured (Indiana average 45.9%).

CMS links it to American Senior Communities, an affiliated group of 90 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 14 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
12D
2E
0F
Potential for minimal harm
0A
0B
0C
June 17, 2026Complaint inspection · 1 citation
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 7, 2026
    Inspectors wroteBased on record review and interview, the facility failed to obtain surgical wound care instructions for a newly placed suprapubic catheter (a urinary drainage device inserted directly into the bladder) for 1 of 3 residents reviewed for wound care. (Resident C)
April 20, 2026Standard inspection · 5 citations
  1. D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 8, 2026
    Inspectors wroteBased on interview and record review, the facility failed to provide residents and/or their representatives with written notice of transfer/discharge and bed hold policy for 1 of 3 residents reviewed for hospitalizations. (Resident 78)Resident 78's record was reviewed on 4/15/126 at 3:51 p.m. Diagnoses included liver cancer, altered mental status, and malnutrition. A 1/29/26 at 12:22 p.m. nurse's note indicated the resident was visited by a Nurse Practitioner (NP) and found to be lethargic and difficult to rouse. The NP ordered the resident sent to the emergency room (ER). A 1/29/26 6:30 p.m. nurse's note indicated the resident was admitted to the hospital. A 1/29/26 notice of transfer/discharge document, provided by the DON on 4/20/26 at 11:18 a.m., lacked an attached bed hold policy. [...]
  2. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 8, 2026
    Inspectors wroteBased on record review and interview, the facility failed to complete a required Preadmission Screening and Record Review (PASRR) Level I screening assessment to determine if a Level II assessment was required when the resident received a new major mental illness diagnosis for 1 of 1 resident reviewed for PASRR. (Resident 11)
  3. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 8, 2026
    Inspectors wroteBased on record review and interview, the facility failed to ensure communications with a dialysis provider were reviewed to prevent duplicate pneumococcal vaccinations and to ensure continuity of care for 1 or 1 residents reviewed for dialysis. (Resident 2)
  4. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 8, 2026
    Inspectors wroteBased on record review and interview, the facility failed to ensure pharmacy recommendations were completed in a timely manner and per facility policy for 3 of 5 residents reviewed for unnecessary medications.
  5. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 8, 2026
    Inspectors wroteBased on record review and interview, the facility failed to ensure pneumococcal vaccinations were provided following the Centers for Disease Control and Prevention (CDC) guidelines and facility policy to prevent duplication of administration for 1 of 6 residents reviewed for immunizations. (Resident 2)
August 29, 2025Complaint inspection · 3 citations
  1. E
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview and record review, the facility failed to protect residents from misappropriation when residents' Institutional Special Needs Plan (ISNP) benefits were utilized by a staff member for purposes other than the individual resident's benefit for 3 of 3 residents reviewed for misappropriation of property (Resident D, Resident E, and Resident F). This deficient practice was corrected on 7/18/25, prior to the start of survey, and was therefore past noncompliance.
  2. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 19, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure a resident's catheter was anchored according to the physician's orders for 1 of 3 residents reviewed for catheters. (Resident C)
  3. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 19, 2025
    Inspectors wroteBased on interview and record review, the facility failed to provide physician ordered pain medication in a timely manner for 1 of 3 residents reviewed for admission. (Resident C)
June 10, 2025Complaint inspection · 1 citation
  1. D
    Allow resident to participate in the development and implementation of his or her person-centered plan of care.
    F553 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 26, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure resident representatives of cognitively impaired residents were invited to participate in care plan processes for 2 of 3 residents reviewed for notifications. (Resident B and Resident D)
March 20, 2025Complaint inspection · 1 citation
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 14, 2025
    Inspectors wroteBased on interview and record review, the facility failed to provide transportation to a medical procedure appointment as previously arranged for 1 of 3 residents reviewed for transportation concerns, resulting in the resident missing the appointment. (Resident C)
February 14, 2025Standard inspection · 2 citations
  1. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 8, 2025
    Inspectors wroteA. Based on observation and interview, the facility failed to utilize infection prevention and control practices related to hand hygiene during laundry delivery. This deficiency had the potential to affect 69 of 70 residents who received facility laundry services. B. Based on observation, interview, and record review, the facility failed to utilize infection prevention and control practices related to enhanced barrier precautions (EBP) during care for residents at higher risk for infection with an indwelling urinary catheter or a feeding tube, for 3 of 5 residents reviewed for infection control. (Residents 8, 10, and 9)
  2. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 8, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure urinary output was monitored as ordered and abnormalities reported to the provider for 1 of 2 residents reviewed for urinary catheters. (Resident 8)
March 25, 2024Standard inspection · 1 citation
  1. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to assure staff handled medications in a sanitary manner and performed hand hygiene during a medication administration observation on the [NAME] Lane Unit.

Fire safety inspections

7 fire safety citations on file: 4 on February 14, 2025, 3 on March 25, 2024.

Every fire safety citation7 citations
  1. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · February 14, 2025 · Corrected (the home has a date of correction)
  2. E
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · February 14, 2025 · Corrected (the home has a date of correction)
  3. E
    Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
    K 361 · February 14, 2025 · Corrected (the home has a date of correction)
  4. E
    Ensure proper usage of power strips and extension cords.
    K 920 · February 14, 2025 · Corrected (the home has a date of correction)
  5. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · March 25, 2024 · Corrected (the home has a date of correction)
  6. E
    Ensure proper usage of power strips and extension cords.
    K 920 · March 25, 2024 · Corrected (the home has a date of correction)
  7. E
    Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
    K 927 · March 25, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeIndianaUnited States
All nursing staff (RN, LPN and aides)3.353.693.86
Registered nurses0.430.670.69
All nursing staff on weekends2.923.253.42
Nurse aides2.26
Licensed practical nurses0.66
Nursing staff turnover (share who left in a year)36.9%45.9%45.8%
Registered nurse turnover50.0%40.3%42.9%
Administrators who left1

CMS expects 4.13 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.52 on weekdays and 2.92 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.48 in April to June 2025 to 3.35 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.350.433.522.92 0.0%0 of 9074
Oct to Dec 20253.420.393.632.90 0.0%0 of 9271
Jul to Sep 20253.370.313.592.84 0.0%0 of 9274
Apr to Jun 20253.480.323.682.98 0.0%0 of 9170
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Indiana, Jan to Mar 20263.630.623.803.193.4%0.4% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeIndianaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
7.411.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.81.11.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.83.93.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.11.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
10.411.914.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.43.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
12.813.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
12.022.223.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
22.110.812.0

Owners and operators

Legal business name: THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY. CMS links this home to American Senior Communities, a group of 90 nursing homes averaging 3.9 stars overall.

NameRoleTypeShareSince
Horn, BrendaCorporate directorIndividual12/01/2023
Babcock, PaulCorporate officerIndividual09/30/2020
American Senior Communities LLCOperational/managerial controlOrganization10/01/2006
Dice, MarkOperational/managerial controlIndividual06/01/2023
Head, StephanieOperational/managerial controlIndividual09/22/2025
Mackey, LinnOperational/managerial controlIndividual06/12/2026
Santos Olivera, RamonOperational/managerial controlIndividual07/27/2022
Van Camp, StevenOperational/managerial controlIndividual06/01/2023
American Senior Communities LLCAdp of the SNFOrganization03/31/2026
Dice, MarkAdp of the SNFIndividual06/01/2023
Head, StephanieAdp of the SNFIndividual04/29/2026
Santos Olivera, RamonAdp of the SNFIndividual04/29/2026
Van Camp, StevenAdp of the SNFIndividual06/01/2023

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on June 17, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on April 20, 2026: "Develop and implement policies and procedures for flu and pneumonia vaccinations."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on April 20, 2026: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on April 20, 2026: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.92 hours per resident per day, below the Indiana average of 3.25.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

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Common questions

What is Edgewater Woods's Medicare star rating?
CMS rates Edgewater Woods 4 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Edgewater Woods get at its last inspection?
5 health deficiencies at the standard inspection on April 20, 2026. The Indiana average is 7.2.
Has Edgewater Woods been fined?
CMS lists no fines in the last three years.
Does Edgewater Woods accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Edgewater Woods?
CMS lists 13 owners and managers, and links the home to American Senior Communities. Legal business name: THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY.

Sources

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